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**Ostenil Plus** is a TRB Chemedica intra-articular viscosupplement medical device containing 2.0% sodium hyaluronate (40 mg/2 mL) and mannitol. The fermentation-derived, non-animal sodium hyaluronate is injected into a synovial joint to supplement synovial-fluid viscoelasticity and provide symptomatic relief of pain and restricted mobility in osteoarthritis; mannitol acts as a free-radical scavenger intended to protect hyaluronate chains from oxidative depolymerisation. It is supplied as a sterile single-use pre-filled syringe for intra-articular administration. ([trbchemedica.co.uk](https://trbchemedica.co.uk/blogs/ostenil-product-smpcs/ostenil-plus-smpc)) A single-centre Oxford pilot study also evaluated Ostenil Plus injections for pain and functional impairment in haemophilic ankle arthropathy. ([hra.nhs.uk](https://www.hra.nhs.uk/planning-and-improving-research/application-summaries/research-summaries/intra-articular-hyaluronic-acid-for-haemophilic-ankle-arthropathy/))
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